{"id":31789,"date":"2023-08-22T04:55:44","date_gmt":"2023-08-22T04:55:44","guid":{"rendered":"https:\/\/www.goodacademic.com\/blog\/questions\/clinical-case-discussion-3-aug-20-at-957am-no-unread-replies-33-replies-instructions-discussions-replyreply-to-case-discussion-3-1-clinical-case-discussion-group-1-replies-are-on\/"},"modified":"2023-08-22T04:55:44","modified_gmt":"2023-08-22T04:55:44","slug":"clinical-case-discussion-3-aug-20-at-957am-no-unread-replies-33-replies-instructions-discussions-replyreply-to-case-discussion-3-1-clinical-case-discussion-group-1-replies-are-on","status":"publish","type":"questions","link":"https:\/\/www.goodacademic.com\/blog\/questions\/clinical-case-discussion-3-aug-20-at-957am-no-unread-replies-33-replies-instructions-discussions-replyreply-to-case-discussion-3-1-clinical-case-discussion-group-1-replies-are-on\/","title":{"rendered":"Clinical Case Discussion 3 Aug 20 at 9:57am No unread replies.33 replies. INSTRUCTIONS:  Discussions   ReplyReply to Case Discussion 3.1 &#8211; Clinical Case Discussion Group 1 Replies are on"},"content":{"rendered":"<article style=\"cursor: auto; color: inherit;\" data-mark-read-url=\"\/api\/v1\/groups\/1337\/discussion_topics\/28915\/read\">\n<div style=\"padding: 12px; cursor: auto; color: inherit;\">\n<div style=\"padding: 2px 10px; cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\" data-bind=\"message\">\n<header style=\"padding: 4px 10px 3px; cursor: auto; color: inherit;\">\n<div style=\"padding-top: 5px; cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<h1 style=\"font-size: 1.1875rem; line-height: 30px; cursor: auto;\">Clinical Case Discussion 3<\/h1>\n<div style=\"cursor: auto; color: inherit;\"><\/div>\n<\/div>\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"font-size: 0.6875rem; line-height: 23px; cursor: auto; color: inherit;\"><time style=\"cursor: auto; color: inherit;\" data-tooltip=\"top\">Aug 20 at 9:57am<\/time><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"margin: -1px; cursor: auto; color: inherit;\" data-bind=\"{&quot;text&quot;:&quot;unreadText&quot;}\">No unread replies.<\/span><span style=\"padding: 0px 5px; font-size: 0.625rem; cursor: auto; color: inherit;\" data-tooltip=\"\" aria-hidden=\"true\">3<\/span><span style=\"margin: -1px -1px 0px; cursor: auto; color: inherit;\">3 replies.<\/span><\/div>\n<\/div>\n<\/div>\n<\/header>\n<div style=\"padding: 2px 10px; cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\" data-bind=\"message\">\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><strong style=\"font-weight: bold; cursor: auto; color: inherit;\">INSTRUCTIONS:<\/strong>&nbsp; Discussions require a response to a specific question(s), which results in a collaborative conversation(s) and construction of knowledge, which build(s) on and expands your learning in this course. With each discussion, you&nbsp;can&nbsp;support your postings and responses with specific references to the assigned course readings and websites.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Post your initial response to the discussion question(s) no later than Wednesday August 23, 2023, at 11:59 pm Pacific Standard Time (PST).&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Substantive first reaction to two other posts is due by Friday August 25, 2023, at 11:59 pm (PST). &nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Substantive reply to the reactions to your posts are due by Monday August 28, 2023, at 11:59 pm (PST).<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Write a conclusion of your posts by Friday September 1, 2023, at 11:59 pm (PST).&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">CLINICAL CASE DISCUSSION 3<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Chief Complaint<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">\u201cIrritable and crying toddler.\u201d<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">History of Present Illness<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">A mother presents her 16-month-old son to his PCP for an evaluation of irritability and crying for the past 5 hours. According to his mother, the child was fine when he suddenly became fussy and appeared to be in pain. He has no nausea, vomiting, diarrhea, fever, cough, or cold symptoms. His mother was alarmed by the sudden off-on episodes of crying. She explains that when he has short bursts of excruciating pain, he doubles over, or if he is being held, his legs have to pull up to his chest. The child seems to be fine in between these episodes. Typically, the child is calm.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Review of Systems<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">The patient\u2019s ROS is positive for irritability and possibly abdominal pain. His ROS is negative for nausea, vomiting, bloody stool, constipation, fever, chills, and cough.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Relevant history<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">The child was a normal spontaneous vaginal delivery at term without any complications. He has continued to thrive, hitting all developmental milestones. He has not been hospitalized, nor is he on any chronic medications.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Allergies<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">No known drug allergies; no known food allergies.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Medications<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">None.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Physical Examination<\/span><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Vitals: T 37.0\u00b0C (98.6\u00b0F), P 120, R 28, BP 100\/65, WT 9.9 kg (22 lbs) 10th percentile, HT 76.2 cm (30 in.) 5th percentile, BMI 16.5.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">General: Alert and engaging when not having an episode of pain. He is non-toxic looking.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Psychiatric: Irritable.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Skin, Hair, and Nails: Pink with a 1\u20132-second capillary refill. No abnormal findings with hair or nails.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Head: No signs of trauma.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Eyes: PERRL.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">ENT\/Mouth: Moist oral mucosa with no signs of dehydration.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Neck: FROM with no nuchal rigidity.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Lungs: Clear to auscultation bilaterally, equal breath sounds.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Heart: RRR, no murmurs.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Abdomen: Soft and non-distended. Mild tenderness with fullness in the right upper abdomen. The right lower abdomen is scaphoid and feels \u201cempty\u201d on palpation (Dance sign).<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Genital\/Rectal: Genital exam without abnormal finding; stool is hemoccult negative.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Neurologic: Alert and not lethargic.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">&nbsp;<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><strong style=\"font-weight: bold; cursor: auto; color: inherit;\"><u style=\"cursor: auto; color: inherit;\">Clinical Discussion Questions<\/u><\/strong><\/p>\n<ol style=\"margin-right: 0px; margin-bottom: 0px; margin-left: 25px; cursor: auto; color: inherit;\">\n<li style=\"cursor: auto; color: inherit;\">Give three (3) differential diagnoses. (Explain how you ruled in and ruled out each differential diagnosis.)<\/li>\n<li style=\"cursor: auto; color: inherit;\">What is the most likely diagnosis? (Explain how you arrived at your diagnosis)<\/li>\n<li style=\"cursor: auto; color: inherit;\">Demonstrate your understanding of the pathophysiology in regard to the most likely diagnosis.<\/li>\n<li style=\"cursor: auto; color: inherit;\">What are the next appropriate steps in management? (Management should be confined to an outpatient setting, this includes proper referral if needed).<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"padding: 12px; cursor: auto; color: inherit;\" data-sticky=\"\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\"><label style=\"margin: -1px; font-size: 0.875rem; line-height: 20px; cursor: auto; color: inherit;\">Search entries or author<\/label><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"margin: -1px; cursor: auto; color: inherit;\">Filter replies by unread<\/span><label style=\"padding: 8px 14px; font-size: 1rem; line-height: 20px; cursor: auto; color: inherit;\" aria-disabled=\"false\" aria-hidden=\"true\"><span style=\"cursor: auto; color: inherit;\">Unread<\/span><\/label><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>&nbsp; &nbsp;<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><i style=\"line-height: 1; cursor: auto; color: inherit;\" aria-hidden=\"true\"><\/i><span style=\"margin: -1px; cursor: auto; color: inherit;\">Collapse replies<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><i style=\"line-height: 1; cursor: auto; color: inherit;\" aria-hidden=\"true\"><\/i><span style=\"margin: -1px; cursor: auto; color: inherit;\">Expand replies<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-top: -1px; padding: 0px 0.8em; cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\" data-bind=\"notification\"><\/div>\n<p><a style=\"margin: 15px 0px; padding: 6px 12px; cursor: auto;\" data-event=\"addReply\"><i style=\"line-height: 1; cursor: auto; color: inherit;\"><\/i><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\" aria-hidden=\"true\">Reply<\/span><span style=\"margin: -1px; cursor: auto; color: inherit;\">Reply to Case Discussion 3.1 &#8211; Clinical Case Discussion Group 1<\/span><\/a><\/div>\n<\/article>\n<div style=\"padding: 12px 0px 12px 12px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Replies are only visible to those who have posted at least one reply.<\/span><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Clinical Case Discussion 3 Aug 20 at 9:57am No unread replies.33 replies. INSTRUCTIONS:&nbsp; Discussions require a response to a specific question(s), which results in a collaborative conversation(s) and construction of knowledge, which build(s) on and expands your learning in this course. With each discussion, you&nbsp;can&nbsp;support your postings and responses with specific references to the assigned [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[190],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/31789"}],"collection":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/comments?post=31789"}],"version-history":[{"count":0,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/31789\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/media?parent=31789"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/disciplines?post=31789"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/paper_types?post=31789"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/tagged?post=31789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}